{"npi":"1194790139","type":"NPI-1","status":"active","name":{"display":"Kenneth Holbrook PA","other":[],"first":"KENNETH","last":"HOLBROOK","middle":"C.","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"GA","license":"003877"}]},"addresses":[{"purpose":"LOCATION","street_1":"2041 MESA VALLEY WAY","city":"AUSTELL","state":"GA","postal_code":"301066828","country_code":"US","street_2":"SUITE 100","phone":"7709441100","fax":"7709446469"},{"purpose":"MAILING","street_1":"2041 MESA VALLEY WAY","city":"AUSTELL","state":"GA","postal_code":"301066828","country_code":"US","street_2":"SUITE 100","phone":"7709441100","fax":"7709446469"}],"license":{"state":"GA","number":"003877"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000150059B","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"100002161B","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"000150059C","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081119000130","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"6002976156"}]},"enumeration_date":"2006-02-22","last_updated":"2011-05-20","_meta":{"source":"NPPES","snapshot_date":"2011-05-20","doc_url":"https://findmynpi.com/api"}}